Perfcorp Medical Group Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

D07807647 Issued in MD

Legal business name

PERFCORP MEDICAL GROUP INC.

Practice address

11890 Old Baltimore Pike
Unit C
Beltsville, MD 20705-1263

Phone

(301) 931-1222

NPI assigned

Aug 1, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alex Kurikeshu, M.D

Title

President

Phone

(301) 931-1222

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Varalakshmi V N Bandaru, M.D

  • Internal Medicine Physician
  • Reston, VA
  • NPI 1245473719
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1568776623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11890 OLD BALTIMORE PIKE",
            "address_2": "UNIT T",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051263",
            "telephone_number": "301-931-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 OLD BALTIMORE PIKE",
            "address_2": "UNIT C",
            "city": "BELTSVILLE",
            "state": "MD",
            "postal_code": "207051263",
            "telephone_number": "301-931-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFCORP MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-01",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "KURIKESHU",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-931-1222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MD",
            "license": "D07807647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD STATE ID",
            "identifier": "D07807647",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Beltsville, MD
• Providers in Beltsville, MD by specialty
• Durable Medical Equipment & Medical Supplies in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.